Individual
ELLA MEDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 E MAGNOLIA AVE, KNOXVILLE, TN 37917-7825
(865) 595-0220
Mailing address
230 FLAGSHIP WAY, KNOXVILLE, TN 37920-2057
(678) 215-7233
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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